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NPI Code Detail

MEDICARE: BRYNN ROSEN

MEDICARE:   BRYNN  ROSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist63018789NY

General Provider Information

NPI Number : 1275940199
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYNN ROSEN
Provider Business Mailing Address
First Line : 245 HENRY ST APT 6E
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4226
Country : US
Telephone Number : 917-562-8760
Fax Number :
Provider Business Practice Location Address
First Line : 245 HENRY ST APT 6E
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4226
Country : US
Telephone Number : 917-562-8760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 07/14/2014

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Directions to “ BRYNN ROSEN ” Practice Location

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